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Itching in the vagina
Medical expert of the article
Last reviewed: 06.07.2025
[ Examination for vaginal itching
The cause of vaginal itching may be revealed by studying the anamnesis. Examine the patient for general health and skin condition. Examine the vulva and other genital areas, with magnification if possible, and take a cervical smear. Also take a vaginal smear and a vulvar smear, and perform a glucosuria test. If in doubt about the diagnosis, do a biopsy.
As a result of scratching and self-medication, the visual picture may change.
Vaginal Itching Treatment
Treatment of vaginal itching is often unsatisfactory. Treat the underlying cause if possible. It is important to reassure the patient that she does not have a serious illness. Advise her to avoid nylon underwear, chemicals, and soap (use liquid shower gel), and to use a hair dryer instead of a towel. Vaginal itching may be relieved by a short course of topical steroids, such as betamethasone valerate 0.1% cream. Avoid all topical medications that may irritate the skin, and if necessary, give oral antipruritic medications, such as promethazine 25-50 mg every 24 hours.